Biomedical subjects

J delCastillo

Publications and source records attributed to J delCastillo.

5 recordsLinked to original sources

PubMed1989

Severe hypokalemia in thyrotoxic periodic paralysis.

Thyrotoxic hypokalemic periodic paralysis is an uncommon but sometimes fatal disease in which early recognition and therapy may prevent untoward complications. The case of a 26-year-old Chinese man who presented to the emergency department with rapidly progressive profound weakness and severe hypokalemia (serum potassium, 1.2 mEq/L) is presented. The patient required endotracheal intubation, ventilatory assistance, and intravenous potassium administration. Emergency medical evaluation and management of this entity are discussed.

Adult↗

PubMed1988

Heterotopic pregnancy after in vitro fertilization and ovulatory drugs.

We report two cases of heterotopic pregnancy in women who were previously infertile. One of these patients conceived with the aid of ovulation stimulatory drugs, and the other from in vitro fertilization. In each case an ultrasound of the pelvis revealed a viable intrauterine pregnancy (twins in one case). Both patients presented in hypovolemic shock and required exploratory laparotomy. At the time of surgery a ruptured ectopic pregnancy with accompanying hemoperitoneum was found in each. Simultaneous ectopic and intrauterine pregnancy, though rare, should be suspected in patients who conceive with the aid of ovulatory drugs or in vitro fertilization.

Abortion, Spontaneous↗

PubMed1987

Massive hemoptysis.

Massive hemoptysis is an uncommon but life-threatening emergency. The loss of at least 600 mL of blood within a 48-hour period has been associated with a high mortality rate. Initial stabilization including airway and ventilation management, IV fluids, oxygen, and laboratory and radiographic studies should be done in the ED. Bronchoscopy and angiography are initial diagnostic manuevers that also may be therapeutic. Surgical therapy is reserved for patients with adequate pulmonary reserve and localized sources of bleeding.

Adult↗

PubMed1984

Duodenal obstruction from peritoneal (Ladd's) bands in a ten-year-old child.

We report a case of a ten-year-old child presenting with a three-year history of recurrent abdominal pain. The patient was found to have a high grade obstruction of the third portion of the duodenum secondary to congenital bands. The diagnosis was made radiographically and surgery was curative.

Child↗

PubMed1983

Atraumatic panmural rupture of the esophagus: Boerhaave syndrome.

Three cases of spontaneous rupture of the distal esophagus are presented. All three patients presented in acute distress, exhibiting epigastric pain and signs of cardiovascular collapse. They all underwent surgery for repair of the lesion. One died postoperatively, and the other two patients recovered after a complicated postoperative period. Because Boerhaave syndrome has a high mortality rate and its diagnosis can be elusive, a high index of suspicion should be maintained by the attending physician.

Aged↗